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Eye Care Group of Utah Lc

NPI 1407809551ActiveOrganization· Specialist· Murray, UT

Specialist in Murray, Utah, registered in NPPES in May 2006. The authorized official on file is Robert P. Wooldridge, Director. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1407809551
StatusActive
Entity typeOrganization
NPI issuedMay 18, 2006
Last updated in NPPESDec 13, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X60698760160UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (UT)

Medicare sources and data years

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